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Tiotropium

Brand names: Spiriva HandiHaler, Spiriva Respimat

Tiotropium (Spiriva) is a once-a-day inhaler that keeps airways open in COPD and some asthma.

Brand namesSpiriva HandiHaler, Spiriva Respimat
Type of medicineLong-acting inhaler (anticholinergic bronchodilator)
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It's a maintenance inhaler, not for sudden attacks. Keep a rescue inhaler.

What it's used for

  • COPD
  • Asthma (Respimat, added to other controllers)

How to take it

  • Use it once a day at the same time.
  • HandiHaler capsules go in the device only. Never swallow them.
  • Keep the mist or powder out of your eyes.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Dry mouth
  • Sore throat
  • Constipation
  • Cough
Call 911Breathing gets worse right after using it
Call your provider todayEye pain, blurry vision, or seeing halos
Call your provider todayTrouble peeing or painful peeing

Warnings

  • Tell your provider about glaucoma, an enlarged prostate, or bladder problems.

Other medicines, foods, and alcohol

  • Avoid other anticholinergic inhalers like ipratropium unless your provider says to.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Talk with your provider.

Missed doses, overdose, and storage

If you miss a dose

Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.